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OWNER OR TENANT AFFIDAVIT <br />FOR INDIVIDUAL <br />STATE OF if uo f-�dct Public Hearing No. <br />COUNTY OF M 16YY) + - bc;kCIV- <br />,IT, 0, <br />\SLESB <br />RECEIVED <br />PZ2025-04 <br />2/7/2025 <br />PLANNING & ZONING DEPT. <br />Before me, the undersigned authority, personally appeared uod,.0. C'' i2co-',____ <br />hereinafter the Affiant, who being duly sworn by me, on oath, deposes and says: <br />1. Affiant is the fee owner or tenant of the property, which is.the subject of the proposed hearing. <br />2. The subject property is legally described as: <br />—k-eyt(a GP S&%AVI'l i L , �-1 <br />19 <br />3. Affiant understands that the matters attached to and made part of the application are honest and <br />true to the best of my knowledge and belief. I understand this application must be complete and <br />accurate before the application can be submitted and the hearing advertized. <br />4. Affiant understands this affidavit is subject to the penalties of law forherjury a t e possibility of <br />voiding of any zoning granted at public hearing. <br />Witnesses: <br />Signature <br />J <br />Print Name <br />Affiant's ignaturer� <br />:.';u�11 r., �t:l2 att,tv�t r:ruM <br />}r^u'jrt�„ G a�ils►A <br />cS:,S1aSiP r.5t::;i� <br />Sworn to and subscribed before me on the 4" day of TMV -CA �(V , 20 PS <br />Affiant is personally known to me or has produced 1 c CS Y-15-� as identification. <br />Notary Public State of Florida <br />�L Melisa D Ambrugna <br />t® Ilt® My Commission HH 484632 <br />Expires 1124/2026 <br />N (Stamp/Seal) <br />Commission Expires: <br />City of Sunny Isles Beach Public Hearing Application Package Page 7 of 30 <br />A <br />